Active NPI
Majestic Pharmacy Inc
- Long Term Care Pharmacy
- San Diego, CA
National Provider Identifier
1154835973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MAJESTIC PHARMACY INC
- Practice address
- 7283 Engineer Rd Ste D
San Diego, CA 92111-1414 - Phone
- (619) 280-1254
- Fax
- (619) 280-1255
- NPI assigned
- Dec 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marian Miranda
- Title
- Ceo/Cfo/Sec./Dir.
- Phone
- (310) 462-5025
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 55859 | CA | |
| Community/Retail Pharmacy | 3336C0003X | |||
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
7283 Engineer Rd Ste D
San Diego, CA 92111-1414
Mailing address
7283 Engineer Rd Ste D
San Diego, CA 92111-1414
Phone (858) 598-5600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57982 | Other | CA | STATE BOARD OF PHARMACY PERMIT |
| 55859 | Other | CA | STATE BOARD OF PHARMACY PERMIT |
Other names 1
- Rosemont Pharmacy
National Provider Directory
National Provider DirectoryLocations
7283 Engineer Rd
San Diego, CA 92111
Phone (619) 280-1254
7283 Engineer Rd
Ste D
San Diego, CA 92111
Phone (858) 598-5600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- San Diego, CA
- NPI 1275853780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610928000000",
"number": "1154835973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7283 ENGINEER RD STE D",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111414",
"telephone_number": "858-598-5600",
"fax_number": "858-598-5619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7283 ENGINEER RD STE D",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111414",
"telephone_number": "619-280-1254",
"fax_number": "619-280-1255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAJESTIC PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-01",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A",
"authorized_official_last_name": "MIRANDA",
"authorized_official_first_name": "MARIAN",
"authorized_official_title_or_position": "CEO/CFO/SEC./DIR.",
"authorized_official_telephone_number": "310-462-5025",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "55859",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY PERMIT",
"identifier": "57982",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF PHARMACY PERMIT",
"identifier": "55859",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rosemont Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.